<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Tell Me About You &amp; Your Travel Companions"/> <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="textarea" label="Please list the first and last name, and email address for all of your travel companions." name="please-list-the-first-and-last-name-and-email-address-for-all-of-your-travel-companions" value="Example: Jane Smith janesmith@gmail.com" className="form-control"/> <field type="textarea" label="Are any travelers children? If so, please list first and last name and age at time of trip or D.O.B." name="are-any-travelers-children-if-so-please-list-first-and-last-name-and-age-at-time-of-trip-or-dob" value="Example: John Smith 1/14/13" className="form-control"/> <field type="text" label="How many rooms will you need?" name="how-many-rooms-will-you-need" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Vacation Details"/> <field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="text" required="true" label="Where would you like to go?" description="If you're not sure just give me a few destinations you're considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/> <field type="text" label="If traveling outside of the United States, does everyone have a passport that is expiring 6 months or greater from your return date?" name="if-traveling-outside-of-the-united-states-does-everyone-have-a-passport-that-is-expiring-6-months-or-greater-from-your-return-date" subtype="text" className="form-control"/> <field type="date" required="true" label="When would you like to depart?" description="This just gives me a general idea of when you like to go; it can be changed later." name="starting-at" className="form-control"/> <field type="date" required="true" label="When would you like to return?" description="This just gives me a general idea of when you like to return; it can be changed later." name="ending-at" className="form-control"/> <field type="checkbox-group" required="true" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Would you like to add Travel Protection to your quote?" description="Travel Protection is highly recommended for your trip. For the low cost you incur it is definitely worth it." name="would-you-like-to-add-travel-protection-to-your-quote"> <option label="Yes, I would like to add Travel Protection to my quote." value="yes-i-would-like-to-add-travel-protection-to-my-quote">Yes, I would like to add Travel Protection to my quote.</option> <option label="No, I would not like to add Travel Protection to my quote. I fully understand that by not purchasing protection, my trip may not be refundable and I will not be protected in the event of a travel emergency." value="no-i-would-not-like-to-add-travel-protection-to-my-quote-i-fully-understand-that-by-not-purchasing-protection-my-trip-may-not-be-refundable-and-i-will-not-be-protected-in-the-event-of-a-travel-emergency">No, I would not like to add Travel Protection to my quote. I fully understand that by not purchasing protection, my trip may not be refundable and I will not be protected in the event of a travel emergency.</option> </field> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What is your target budget for EACH TRAVELER?&nbsp; This is just an estimate and can be changed." name="what-is-your-target-budget-for-each-traveler-this-is-just-an-estimate-and-can-be-changed"> <option label="$1500-$2500" value="15002500">$1500-$2500</option> <option label="$2500-$3500" value="25003500">$2500-$3500</option> <option label="$3500-$4500" value="35004500">$3500-$4500</option> <option label="$5500-6500" value="55006500">$5500-6500</option> <option label="$6500-7500" value="65007500">$6500-7500</option> <option label="Unlimited" value="unlimited">Unlimited</option> </field> <field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers budget and/or travel preferences?" name="notes" value="Great opportunity to list any specific resorts or hotels that you're interested in exploring." className="form-control"/> <field type="header" subtype="h1" label="Travel Preferences"/> <field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference" other="true"> <option label="Economy" value="value">Economy</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Boutique" value="boutique">Boutique</option> <option label="Villa" value="villa">Villa</option> </field> <field type="checkbox-group" required="true" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true"> <option label="Adults Only" value="adults-only">Adults Only</option> <option label="Adventure" value="adventure">Adventure</option> <option label="Cruise" value="cruise">Cruise</option> <option label="Exotic" value="exotic">Exotic</option> <option label="Family Friendly" value="family-friendly">Family Friendly</option> <option label="Fun In The Sun" value="fun-in-the-sun">Fun In The Sun</option> <option label="In The States" value="in-the-states">In The States</option> <option label="LQBTQ Friendly" value="lqbtq-friendly">LQBTQ Friendly</option> <option label="Party" value="party">Party</option> <option label="Rest and Relaxation" value="rest-and-relaxation">Rest and Relaxation</option> <option label="Romantic" value="romantic">Romantic</option> <option label="Solo" value="solo">Solo</option> <option label="Theme Parks" value="theme-parks">Theme Parks</option> </field> <field type="radio-group" required="true" label="What type of trip do you prefer?" name="what-type-of-trip-do-you-prefer" other="true"> <option label="All Inclusive (Resort/Flight)" value="all-inclusive-resortflight">All Inclusive (Resort/Flight)</option> <option label="Hotel/Resort Only" value="hotelresort-only">Hotel/Resort Only</option> <option label="Cruise" value="cruise">Cruise</option> <option label="Hotel/Flight/Car" value="hotelflightcar">Hotel/Flight/Car</option> </field> <field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true"> <option label="Adventure Activities" value="adventure-activities">Adventure Activities</option> <option label="Arts and Theater" value="arts-and-theater">Arts and Theater</option> <option label="Beach and Water" value="beach-and-water">Beach and Water</option> <option label="Dinner and Movies" value="dinner-and-movies">Dinner and Movies</option> <option label="Gambling" value="gambling">Gambling</option> <option label="Golf" value="golf">Golf</option> <option label="Hiking" value="hiking">Hiking</option> <option label="Horseback Riding" value="horseback-riding">Horseback Riding</option> <option label="Motorsports" value="motorsports">Motorsports</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Scuba Diving" value="scuba-diving">Scuba Diving</option> </field> <field type="checkbox-group" label="Is this a special occasion? Please check the appropriate box." name="is-this-a-special-occasion-please-check-the-appropriate-box"> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Bachelor" value="bachelor">Bachelor</option> <option label="Bachelorette" value="bachelorette">Bachelorette</option> <option label="Baecation" value="baecation">Baecation</option> <option label="Birthday" value="birthday">Birthday</option> <option label="Family Vacation" value="family-vacation">Family Vacation</option> <option label="Girl's Trip" value="">Girl's Trip</option> <option label="Group Trip" value="group-trip">Group Trip</option> <option label="Guy's Trip" value="guys-trip">Guy's Trip</option> <option label="Holiday" value="holiday">Holiday</option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Leisure" value="leisure">Leisure</option> <option label="Proposal" value="proposal">Proposal</option> <option label="Wedding" value="wedding">Wedding</option> <option label="Work Trip" value="work-trip">Work Trip</option> <option label="Other" value="other">Other</option> </field> <field type="clientLoyaltyPrograms" label="Loyalty Programs" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/> </fields> </form-template> </body> </html>
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